Which subjective factors determine the self-rated negative occupational prognosis of patients in cardiac rehabilitation? A qualitative study

Funding Acknowledgements

Type of funding sources: None.

Introduction

A negative self-rated occupational prognosis hinders the vocational reintegration of patients after cardiac rehabilitation (CR). Several studies reveal that these patients often show reduced physical performance as well as higher psychosocial burden. Although the current evidence indicates that self-rated (negative) occupational prognosis of the patients in CR is a multi-factorial issue, there are no studies on subjective factors determining that prognosis.

Purpose

The aim of this study was to understand what subjective factors determine a self-rated negative occupational prognosis of patients in CR.

Methods

A single-centre qualitative study using thematic analysis was conducted in the fourth quarter of 2021. Data was collected by two researchers using in-depth interviews with 20 patients with self-rated negative occupational prognosis and 5 patients with non-impaired prognosis. We interviewed working-age patients (range 18-60 years) who were admitted to a rehabilitation program usually within 14 days after an acute cardiac event. The participants were selected by theoretical sampling. All interviews were recorded, transcribed and coded. We concluded the codes in main themes.

Results

In our analysis of interview texts we extrapolated seven themes: 1) environmental factors (social support, requalification opportunities, industry-specific occupational risks); 2) personal factors (professional skills, knowledge about own impairments, attitude toward future); 3) factors that occurred before a cardiac event (previous illness, unhealthy lifestyle, familial predisposition to disease); 4) factors that occurred after a cardiac event (health stigma and discrimination, disabilities, changed personal priorities); 5) patient's health perception including physical capacity; 6) possibilities to change the working conditions; 7) heart-focused anxiety. The themes 1 to 4 can be considered as an umbrella term for multiple individual factors. However, the themes 5 to 7, which indicate specific determining subjective factors for self-rated occupational prognosis, appeared in most of the interviews.

Conclusion

We conclude that the self-rated occupational prognosis is determined by a complex set of individual factors. However, three themes – patient´s health perception, opportunity to adjust work place, and resilience towards heart-focused anxiety- were mentioned by the majority of patients regarding their self-accessed occupational prognosis. Affected patients are likely to require a multidisciplinary rehabilitation program, whereas these three themes might be addressed by social workers and psychologists.

NEOTROPICAL FRESHWATER FISHES: A dataset of occurrence and abundance of freshwater fishes in the Neotropics

The Neotropical region hosts 4225 freshwater fish species, ranking first among the world's most diverse regions for freshwater fishes. Our NEOTROPICAL FRESHWATER FISHES data set is the first to produce a large-scale Neotropical freshwater fish inventory, covering the entire Neotropical region from Mexico and the Caribbean in the north to the southern limits in Argentina, Paraguay, Chile, and Uruguay. We compiled 185,787 distribution records, with unique georeferenced coordinates, for the 4225 species, represented by occurrence and abundance data. The number of species for the most numerous orders are as follows: Characiformes (1289), Siluriformes (1384), Cichliformes (354), Cyprinodontiformes (245), and Gymnotiformes (135). The most recorded species was the characid Astyanax fasciatus (4696 records). We registered 116,802 distribution records for native species, compared to 1802 distribution records for nonnative species. The main aim of the NEOTROPICAL FRESHWATER FISHES data set was to make these occurrence and abundance data accessible for international researchers to develop ecological and macroecological studies, from local to regional scales, with focal fish species, families, or orders. We anticipate that the NEOTROPICAL FRESHWATER FISHES data set will be valuable for studies on a wide range of ecological processes, such as trophic cascades, fishery pressure, the effects of habitat loss and fragmentation, and the impacts of species invasion and climate change. There are no copyright restrictions on the data, and please cite this data paper when using the data in publications.

Seasonal records of benthic macroinvertebrates in a stream on the eastern edge of the Iguaçu National Park, Brazil

Background Iguaçu National Park (INP) is known worldwide due to Iguaçu Waterfalls, being considered a World Natural Heritage by UNESCO. The INP is one of the last large forested extensions of inland Brazil that provides protection to the Atlantic Forest, one of the world's biodiversity hotspots. However, its Natural Heritage status has been threatened by the construction and operation of the Baixo Iguaçu dam, agricultural and urban impacts on its boundaries and the increasing interest of the Brazilian government in re-opening of the "Colono road", an old illegal road that crossed the interior of the park. Indeed, since benthic macroinvertebrates have been widely used for the environmental assessment of streams, records and abundance of their taxa under different seasonal periods may provide an additional dataset for biomonitoring of hydrographic systems in the face of current anthropogenic impacts on the INP boundaries and other similar streams on forest edges. New information In this study, we improved the sampling design of benthic macroinvertebrates and provided seasonal records covering distinct precipitation/temperature periods between 2016 and 2017 of a stream on the eastern edge of the Iguaçu National Park, Brazil. The records total 2,840 individuals distributed in 88 different taxa. The most abundant taxa were the Diptera subfamilies, Chironominae (n = 1,487) and Tanypodinae (n = 256), besides the Heterelmis genus (n = 152, Elmidae; Coleoptera). Diptera was the richest order in number of families (n = 8), while Leptophlebiidae (Ephemeroptera) was the richest taxonomic family in number of genera (n = 11). Aegla (Crustacea) and the Insecta genera, Heterelmis, Hexacylloepus, Noelmis, Phylloicus and Thraulodes, were recorded through all samplings. Twenty-five genera of Ephemeroptera, Plecoptera, Trichoptera (EPT) and Odonata were recorded during intermediate precipitation/temperature periods. Twenty-one of them were recorded in May 2016, with five genera standing out in abundance (Hydrosmilodon, Anacroneuria, Argia, Coryphaeschna, Americabaetis) and four (Needhamella, Tikuna, Simothraulopsis, Neocordulia) in December 2016. Four general taxa were exclusive of the lower precipitation/temperature period (August 2016), standing out in abundance were the Oxystigma (Odonata) and Corydalus (Megaloptera) genera. In March 2017 (higher precipitation/temperature period), four exclusive taxa were recorded, amongst them, the Chimarra (Trichoptera) genus. Furthermore, seasonal records demonstrated higher occurrences and abundance of macroinvertebrates during the intermediate and lower precipitation/temperature periods, besides a varied taxa composition throughout the year, with the presence of both sensitive and tolerant groups to environmental impacts. Our findings suggest that the number and composition of the local-stream macrobenthic fauna were influenced by the seasonal climatic regime. These changes should be considered in the limnological monitoring developed on the hydrographic systems of INP eastern edges to improve the assessment of environmental quality under different local seasonal conditions.

Fish fauna in forested and rural streams from an ecoregion of high endemism, lower Iguaçu River basin, Brazil

Abstract The fish fauna of eight streams with different land uses of their watersheds (forested and rural areas) in the lower Iguaçu River basin was inventoried, in order to evaluate the composition and species richness. The fishes were sampled quarterly from May 2015 to February 2016, using the electrofishing technique. In total, 4,239 individuals were captured, belonging to six orders, 11 families and 26 species. The orders Siluriformes and Characiformes, and the families Characidae and Trichomycteridae were the most specious. Of the total species sampled, 65% were endemic to the Iguaçu River basin, four are not described and four are non-native. As expected to the Iguaçu River basin, the inventoried fauna revealed low richness and high endemism, however was highly nested within the species composition reported for main channel of Iguaçu River and their larger tributaries. The species recorded here corresponded to a subset of 24.5% of the 106 species documented for the basin. The streams presented different faunas, with only two species (Astyanax bifasciatus and Trichomycterus stawiarski) common to both forested and rural streams. In addition, higher species richness was recorded in streams inserted in conservation units. The presence of non-native species was more frequent in rural streams. These results highlight the importance of the preservation of forested areas in the watersheds of lower Iguaçu, which presents a peculiar fish fauna, along with several threats to biodiversity such as habitat loss by intensive agriculture use.

Fish habitat associations along a longitudinal gradient in a preserved coastal Atlantic stream, Brazil

Habitat conditions at multiple scales are one of the major factors structuring ichthyofauna. Thus, we analyzed the fish habitat associations along the headwater-mouth gradient of a coastal Atlantic stream. We categorized the sampling sites into habitat units, so that in the middle reach these categories were statistically differentiated into riffles, runs and pools. Samplings were carried out quarterly from May 2009 to February 2010 using electrofishing. Principal component analysis (PCA) indicated an environmental gradient from higher water velocity and rocky bottom to deeper and sandy areas in the headwater-mouth direction. A total of 1,495 individuals belonging to 27 species were captured, being 13, 18 and 22 from headwater, middle and mouth reaches, respectively. Shannon diversity was slightly higher in the middle reach, while beta diversity showed higher rates of addition than turnover in species along the longitudinal gradient. Fish structure, evaluated by DCA (detrended correspondence analysis) scores, showed significant differences between upper reaches and mouth reach, but the middle riffles did not differ from headwater habitats. In the middle reach, mesohabitat analysis distinguished riffles, with higher abundance of fast-water crenuchids, from pools, with a higher abundance of lentic-water characids. These results suggest that environmental differences along the stream determine the wider structural patterns. However, the middle reach amassed species from upper areas and lowlands in structured fish mesohabitat associations, possibly implying distinct local ecological interactions. These findings contribute to the assessment of stream conservation status and to recognize eventual direct impacts on fish structures along longitudinal gradients.

Diet and ecomorphological relationships of an endemic, species-poor fish assemblage in a stream in the Iguaçu National Park

This study investigated the morphological and dietary relationships of the fish assemblage in a stream with an endemic fauna and low species richness. The ichthyofauna was sampled quarterly from September 2011 to July 2012, through the electrofishing technique. The stomach contents of 419 individuals belonging to seven species were analyzed by the volumetric method, and the ecomorphological traits of 30 specimens of each species were estimated. The main food items consumed were detritus, aquatic and terrestrial insects, and other aquatic invertebrates. We observed low levels of trophic niche breadth and diet overlap between most species. The PCA scores indicated the occurrence of three ecomorphotypes. PCA axis 1 segregated at one extreme, species with dorsoventrally depressed bodies, longer caudal peduncles, and well-developed swimming fins; and at the other extreme, species with compressed bodies and peduncles, and relatively larger eyes and anal fins. PCA axis 2 segregated species with elongated bodies and ventrally oblique mouths. The partial Mantel test revealed a significant correlation between diet and morphology, indicating independence from the phylogeny. The patterns observed suggest that the low richness did not result in a broadening of the species' trophic niches, or in the absence of some of the main ecomorphotypes expected.

Longitudinal use of feeding resources and distribution of fish trophic guilds in a coastal Atlantic stream, southern Brazil

This study described the use of food resources and the distribution of fish trophic guilds along the longitudinal gradient of a coastal Atlantic stream, southern Brazil. Allochthonous resources (terrestrial insects) predominated in the headwaters, whereas autochthonous food items (algae, fish) and detritus predominated in the mouth section. Detritivorous, aquaticinvertivorous, and terrestrial- and aquatic-insectivorous species occurred throughout the gradient, while omnivorous and piscivorous in the headwaters and middle stretches, respectively, and herbivorous in the middle and mouth. Detritivores and aquatic-insectivores were significantly more specialized than the other guilds, however, there was no evidence of a longitudinal increase in trophic specialization. Density and biomass of aquatic-invertivores and aquatic-insectivores decreased, whereas that of detritivores increased longitudinally. The distribution of trophic guilds was significantly associated with the stream section, where aquatic and terrestrial insectivorous were more frequent in rocky and flowed stretches from the headwater and detritivores in deeper environments with finer particles of substrate from the mouth. This suggests that fish assemblages in coastal streams with a steep longitudinal gradient may follow patterns in the use of food resources according with the food availability along the river, as predicted by the River Continuum Concept.

Spatial, seasonal and ontogenetic variation in the diet of Astyanax aff. fasciatus (Ostariophysi: Characidae) in an Atlantic Forest river, Southern Brazil

This study described the feeding habits of the characin Astyanax aff. fasciatus. The diet compositions of specimens from two sites (A and B) on a river in Southern Brazil were compared according to the size of individuals and seasonal period. The collections were performed monthly from March 2005 to February 2006, where the stomach contents of 290 specimens were assessed. Food items for A. aff. fasciatus were basically composed of plants and insects, especially leaf fragments, seeds, fruits, filamentous algae, aquatic and terrestrial insects and insect fragments. At site A, the most common items were insect and plant fragments. Conversely at site B, plant fragments were more representative. In general, all items of animal origin showed the highest feeding index values at site A, whereas at site B detritus and grass items were more abundant. The composition of items varied seasonally, with higher diversity of items being recorded during the spring at both sites. Smaller individuals preferred items of animal origin, while the larger ones consumed mainly items of plant origin. According to its size, A. aff. fasciatus in this study may be considered a species with insectivorous tendencies when immature or herbivorous tendencies when adult. Nevertheless, its feeding habits may be flexible according to resource availability, showing wide ontogenetic, besides spatial and temporal variation.

Notes on the biology of Trypoxylon (Trypargilum) opacum Brèthes (Hymenoptera; Crabronidae) in Southern Brazil

The present study investigated the abundance, seasonality and various life-history traits of Trypoxylon (Trypargilum) opacum. Using trap-nests, 320 nests of T. opacum were collected in the Parque Municipal das Araucárias in Southern Brazil (25 degrees 23' 36" S and 51 degrees 27' 19" W) over a 3 year period. Nesting was more frequent during the warm season. Nests consisted of a linear series of 1 to 8 brood cells separated by mud partitions, usually followed by an empty vestibular cell and final-closure mud plug. Brood cells were most commonly provisioned with spiders of the family Araneidae. Sex-ratio was strongly female biased, 3.4:1 females:males. Natural enemies attacking nests T. opacum included chrysidids, ichneumonids, sarcophagids, bombyliids and ants.

Nesting biology of Trypoxylon (Trypargilum) lactitarse Saussure (Hymenoptera, Crabronidae) in trap-nests in Southern Brazil

This study was carried in the Parque Municipal das Araucárias in the municipality of Guarapuava, state of Paraná, Southern Brazil. Three hundred and sixty five nests of T. lactitarse were obtained using trap-nests of 0.7, 1.0, and 1.3 cm in diameter. All of them had similar architecture, regardless of the diameter of the trap-nest. Completed nests consisted of a linear series of brood cells whose average number per nest was of 3.3, 4.0 and 3.6 for the nests with 0.7 cm, 1.0 cm and 1.3 cm in diameter, respectively. They were constructed more often during the summer. T. lactitarse had two types of life cycles: direct development (without diapause), and delayed development (with diapause during winter). Natural enemies included Chrysididae, Sarcophagidae, Dolichopodidae and Ichneumonidae. Out of 1,353 identified spider prey, 1,313 belonged to the Araneidae family.

Nesting biology oF Centris (Hemisiella) tarsata Smith in southern Brazil (Hymenoptera, Apidae, Centridini)

A total of 67 nests of Centris tarsata were obtained from wood trap-nests of different diameters, consisting of a linear series of brood cells built with sand mixed with oil. This species showed a preference for open habitats, since it occurred only in Swamp and Grassland areas and has never been found in the Araucaria forest. Nesting activity was bigger during the hot season, especially in December and January. The Sex ratio was of 1.48:1 (females/males), significantly different from 1:1. The females were larger than the males and these showed no dimorphism. Males were produced in the outermost cells and females in the innermost cells. C. tarsata presented a direct development without diapause in larval stage. They overwinter as adults. Development time was similar for males and females. Natural enemies are Bombyliidae Mesocheira bicolor, Coelioxys sp. and Meloidae.